| NPI | 1629193594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 2008-00753) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: SC 27898) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2021-03-25 |